Category: Blog

CMS-introduces-game-changing-appeal-rights-for-Patients

CMS Enhanced Patient Appeal Procedures

Doctors must consider the implications of altering a patient’s status. The Centers for Medicare & Medicaid Services (CMS) is suggesting novel retrospective and prospective appeal procedures in compliance with a federal district court order from the District of Connecticut. On December 21, the agency unveiled a proposed rule aiming to institute an appeal mechanism for […]
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2024 Patient Experience trends

Healthier Horizons: Patient Experience Trends for 2024

The healthcare landscape is undergoing an unprecedented evolution, set to drive a significant transformation in patient experience in 2024. Recent technological advancements, coupled with increased patient expectations for enhanced care, are converging with a comprehensive approach encompassing clinical, social, and behavioral facets of patient well-being. This convergence necessitates the modernization of care delivery systems to […]
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Use-of-Z-Codes-to-Document-Social-Determinants-of-Health

Underutilization of Z-Codes: Impact on Documenting Social Determinants of Health

The utilization of Z-codes for recording social determinants of health is notably low, as indicated by two distinct studies. Although these codes were integrated into ICD-10 to aid healthcare establishments in documenting and monitoring social determinants of health, recent findings published in Health Affairs Scholar highlight their underutilization. The initial study, conducted by University researchers, […]
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3-strategies-for-revenue-cycle-management-optimization

3 Strategies for Revenue Cycle Management Optimization

Optimizing revenue cycle management is pivotal in rebounding from the profound losses of the previous year. Leading provider organizations have devised three potent strategies. In the aftermath of the COVID-19 pandemic, fine-tuning revenue cycle management takes precedence for financial leaders. Last year, healthcare institutions grappled with substantial declines in both revenue and patient volume, all […]
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Top-10-prior-authorization-updates-in-2023

10 Prior Authorization Updates in 2023 

In 2023, multiple entities, such as the Health Insurance Company and health Services Company, declared reductions in prior authorizations. Healthcare Media provided further details on this and additional updates related to prior authorizations in the healthcare sector reported this year. According to a November 13 report from the Medical Group Management Association, 89% of medical […]
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transformative-impact-of-RCM-Software-in-revolutionizing-healthcare

How Revenue Cycle Management Software Reshapes Healthcare in 2024

Understanding the complexities of healthcare finance can resemble untangling a sophisticated puzzle. Every billing and coding intricacy holds the potential to influence patient care delivery. Recognizing this significance is key, and that’s precisely where the game-changing influence of revenue cycle management software becomes evident. Your worry might revolve around the potential financial stress on healthcare […]
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Surprise-Billing-Dispute-Resolution

Surprise Billing Dispute Resolution: Challenges, Lawsuits, and Proposed Changes

This year, the CMS has frequently halted and resumed arbitration due to court cases causing disruptions in the regulatory process aimed at settling surprise billing disputes. Summary Overview: Last Friday, the CMS finalized its revamp of the No Surprises Act resolution process, fully reopening the portal for resolving disputes, including batched and single disputes for […]
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Top-3-Revenue-Cycle-Hurdles

Top 3 Critical Challenges for Revenue Cycle Leaders in 2024

 As we approach the end of 2023 and the holiday season draws near, revenue cycle leaders ought to contemplate including these three challenges in their organization’s roster of New Year’s resolutions. Automating Payer Processes: Similar to healthcare organizations, payers have also started embracing automated solutions, intensifying challenges in managing denials and causing delays in payment […]
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Rising-Denied-Claims-impact-on-Cash-flow-Delays-for-Hospitals

Rising Denied Claims: Impact on Hospitals’ Cashflow Delays

Hospital bills that remain unpaid for over 90 days often stem from claims that were initially rejected by payers. Additionally, the longer a bill is initially declined, the greater the likelihood that it will take more than 90 days to be resolved. These discoveries are highlighted in a recent report by Healthcare Consulting Company, which […]
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Christmas -ICD-10 injury codes

ICD-10 Codes to Ring the Bell on Christmas Season

December is the Christmas, a holiday season, it’s the right time to decorate, indulge in tasty treats, and gather with loved ones. It’s known to us that all the festive celebration brings the risk of injuries and illness. Note down these ICD-10 codes for the christmas season, which will help physicians to diagnose emergency rooms, […]
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